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If you have a medical emergency, please dial 911 or go to the nearest emergency room.

General Inquiry Form

The form on the this page is for general inquiries only. Due to privacy concerns, we are unable to discuss patient information or financial matters via email. Do not use this form as a way to obtain medical help. If you need medical care, please call your physician.

TriStar Ashland City Medical Center

Which TriStar facility are you inquiring about? *

First Name: *

Last Name: *

Email Address: *

Phone Number:

Zip Code: *

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Security

General Internet communication is inherently not secure. For this reason, we highly recommend that data considered confidential or private in nature not be submitted on this form. (e.g., Social Security Numbers, Diagnosis Information, Credit Card Numbers, etc.)

If you have a medical emergency, please dial 911 or go to the nearest emergency room.